| NPI | 1184132177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2472E0500X Technician, Other, EEG (Licence: GA c9p4h9a3) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: GA Cn0000001529) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2019-01-22 |