| NPI | 1952156788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NC C65554) |
| Additional Taxonomies | 171400000X |
| 1744P3200X Specialist Prosthetics Case Management (Licence: NC C65554) | |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |