| NPI | 1780298950 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: KY CNIM) | 
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | 
| Enumeration Date | 2020-09-03 | 
| Last Update Date | 2020-09-03 |