| NPI | 1649529280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
| 2472E0500X Technician, Other, EEG | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2022-09-27 |