| NPI | 1912774241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: GA CO106481) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: GA co106481) |
| 374K00000X | |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-13 |