| NPI | 1679653596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: IL 03-162) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: TX SA00278) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2013-05-01 |