| NPI | 1811429673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: OH Lped 153) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: CPed 2351) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |