| NPI | 1588988547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2472E0500X Technician, Other, EEG (Licence: 1668) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: NY X011080) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2010-03-19 |