| NPI | 1982082525 |
|---|---|
| Former Name | REGINA INGRAM CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-11-24 |