| NPI | 1124658109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: FL 373) |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG (Licence: NV 5646) |
| 2472E0500X (Licence: NV 5646) | |
| 156F00000X Technician/Technologist (Licence: 5646) | |
| Enumeration Date | 2020-01-18 |
| Last Update Date | 2024-03-22 |