| NPI | 1972053346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG |
| 247200000X | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |