NPI | 1720382914 |
---|---|
Former Name | ELVIRA REYES-ASHLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: TX 1989) |
Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: TX 987) |
Enumeration Date | 2011-01-02 |
Last Update Date | 2019-09-03 |