| NPI | 1962182402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 171400000X Health & Wellness Coach (Licence: GA COSA063639) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-08-17 |