| NPI | 1114418118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A177250) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A177250) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2025-08-22 |