| NPI | 1881062578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: KS 16-02659) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |