| NPI | 1932986494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 23061457) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: GA 23061457) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |