| NPI | 1740641596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: VA 549567) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 549567) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |