| NPI | 1992141162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine (Licence: WA FE60361497) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2014-03-25 |