| NPI | 1679252019 |
|---|---|
| Former Name | SAMANTHA NECOLE MCREYNOLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-13 |