| NPI | 1619308285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 2278E1000X Respiratory Therapist, Certified, Educational (Licence: VA 0117005204) |
| 291U00000X Clinical Medical Laboratory | |
| 291U00000X Clinical Medical Laboratory (Licence: VA 49D2067382) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206009831) | |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2014-05-28 |