| NPI | 1871325662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 1744P3200X Specialist Prosthetics Case Management |
| 225000000X Orthotic Fitter | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |