| NPI | 1558750265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
| 246ZE0500X Specialist/Technologist, Other, EEG | |
| 2472E0500X | |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2015-01-19 |