| NPI | 1316192198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: NV MP00560) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |