| NPI | 1245773787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WA 604-041-038) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |