| NPI | 1104535269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: TX 38720104) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2025-04-15 |