| NPI | 1669612685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: TX 3853) |
| Additional Taxonomies | 171W00000X Contractor (Licence: TX 113405) |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant | |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX 113405) | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2024-07-05 |