| NPI | 1801968284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: 901) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 901) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2013-04-22 |