NPI | 1144856279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Additional Taxonomies | 171W00000X Contractor |
2472E0500X Technician, Other, EEG | |
261QH0100X Clinic/Center, Health Services | |
Enumeration Date | 2020-03-20 |
Last Update Date | 2020-03-20 |