| NPI | 1528377272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 11548) |
| 2472E0500X Technician, Other, EEG | |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2017-10-18 |