| NPI | 1326855024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 1265638126) |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-05-14 |