| NPI | 1881315232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other |
| Additional Taxonomies | 174400000X Specialist |
| 1744P3200X Specialist, Prosthetics Case Management | |
| 224P00000X Prosthetist (Licence: OH COSI027863) | |
| 374700000X Technician | |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2023-07-25 |