| NPI | 1891156840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: GA 81-1666941) |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2024-06-11 |