| NPI | 1932525615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-09-08 |