| NPI | 1801452511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic (Licence: CA 6297) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic | |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |