| NPI | 1962180117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 183700000X Pharmacy Technician |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-10 |