| NPI | 1962384065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 174400000X Specialist |
| 1744P3200X Specialist Prosthetics Case Management | |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |