| NPI | 1801602495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MD sxoyktfqgh) |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| 224P00000X Prosthetist | |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |