NPI | 1194093393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 101183) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 18131) |
335E00000X Prosthetic/Orthotic Supplier (Licence: CA C17386) | |
Enumeration Date | 2011-12-02 |
Last Update Date | 2011-12-02 |