| NPI | 1619445855 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: TN 2045)  | 
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG (Licence: TN 5782)  | 
| Enumeration Date | 2018-11-06 | 
| Last Update Date | 2018-11-06 |