| NPI | 1265916480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NY 2050546-dca) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |