| NPI | 1831596550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2472E0500X Technician, Other, EEG (Licence: FL 4372) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: FL 15451) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |