| NPI | 1467409193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X (Licence: FL ME142155) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036-107157) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: IN 01081458A) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101229128) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2023-01-25 |