NPI | 1093111684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MD 404811) |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MD 311za0620x) |
Enumeration Date | 2014-11-10 |
Last Update Date | 2023-02-14 |