| NPI | 1326680554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NC 02697) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |