| NPI | 1669603510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: TX T1666) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX T1666) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MA 278805) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2024-08-19 |