| NPI | 1790198125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CA A168495) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: RI LP03216) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2022-03-16 |