| NPI | 1679849673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 126708-30) |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2024-07-07 |