| NPI | 1891429148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 1744P3200X Specialist, Prosthetics Case Management | |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-12 |