| NPI | 1730538992 |
|---|---|
| Former Name | TOMEKA DEVONDA HATFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 174400000X Specialist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2025-08-01 |