| NPI | 1740447515 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | 
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG | 
| Enumeration Date | 2008-05-20 | 
| Last Update Date | 2008-05-20 |