NPI | 1255784013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: MI L777466) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI L777466) |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MI L777466) | |
Enumeration Date | 2016-07-18 |
Last Update Date | 2016-07-18 |