| NPI | 1750962742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Additional Taxonomies | 174400000X Specialist |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2022-06-16 |