| NPI | 1720435340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0500X Specialist/Technologist, Other, EEG (Licence: TX 4023) |
| Additional Taxonomies | 2472E0500X Technician, Other, EEG (Licence: TX 4023) |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2019-04-22 |