| NPI | 1811381353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: 691) |
| Additional Taxonomies | 2472E0500X (Licence: 691) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-08-13 |