| NPI | 1497204952 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: AZ 1116)  | 
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG (Licence: AZ 1908)  | 
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: AZ 564)  | |
| Enumeration Date | 2016-09-26 | 
| Last Update Date | 2016-09-26 |