| NPI | 1548349350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 0084934) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-05-27 |