| NPI | 1043420771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 4923310001) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-12 |