| 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 |