| NPI | 1578420808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2026-01-08 |
| Last Update Date | 2026-02-27 |