NPI | 1306536925 |
---|---|
Former Name | CARRIE UTKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: 5050) |
Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG (Licence: 7256) |
Enumeration Date | 2023-05-08 |
Last Update Date | 2023-05-08 |