| NPI | 1013275445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 171W00000X Contractor |
| 224P00000X Prosthetist | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: MD 1013275445) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: MD MT0072902) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2018-04-12 |