| NPI | 1063076834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0102209954) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL UO6419) |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2026-02-20 |