| NPI | 1861642613 |
|---|---|
| Former Name | PAULINE ANNETT WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R2683) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2011-02-01 |