| NPI | 1891518346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 1668067) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: TX 1668067) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |