| NPI | 1861732984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 172A00000X Driver |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |