| NPI | 1760100283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 372500000X Chore Provider | |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-08-19 |