| NPI | 1265566301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN CFm00607) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: IN CFm00607) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-09 |