| NPI | 1043738339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: CA FAC00083950) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-08-29 |