| NPI | 1316324767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: VA 122772) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |