| NPI | 1992165179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: GA 1744P3200X) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2022-11-14 |