| NPI | 1952740326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 332B00000X) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: SC 146N00000X) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |