| NPI | 1407138969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: PA MD446845) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD446845) |
| 207T00000X Neurological Surgery (Licence: PA MD446845) | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2012-08-29 |