| NPI | 1861263626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: NY 120220677797) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |