| NPI | 1356658322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 376J00000X Homemaker |
| 374U00000X Home Health Aide | |
| 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies | |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2017-02-08 |