| NPI | 1730721101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: OH COSA.092404) |
| Additional Taxonomies | 171W00000X Contractor (Licence: OH COSA.092404) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: OH COSA.092404) | |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2024-02-21 |