| 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 |