| NPI | 1891019485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 1540235) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 335E0000X1540235) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 335E00000X 1540235) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |