| NPI | 1104524735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 174400000X Specialist (Licence: AL I30924) |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2024-05-15 |