NPI | 1003200544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: 2502) |
Additional Taxonomies | 2472E0500X Technician, Other, EEG (Licence: 2502) |
Enumeration Date | 2015-03-23 |
Last Update Date | 2016-12-16 |