| NPI | 1255111068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NY AEC-22-11134) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2024-01-09 |