| NPI | 1124291018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: CO 2933) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CO 1743) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2017-01-31 |