| NPI | 1164682563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 00008156) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: GA 00008156) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |