| NPI | 1891266243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 001141) |
| Additional Taxonomies | 171W00000X Contractor (Licence: OH 001141) |
| 1744P3200X Specialist, Prosthetics Case Management (Licence: OH 001141) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: OH 001141) | |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2023-07-12 |