| NPI | 1518219518 |
|---|---|
| Former Name | JESSICA FENDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: FL 246ze0600x) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2016-09-14 |