| NPI | 1790719292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 224509) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A93806) |
| 207T00000X Neurological Surgery (Licence: CA a93806) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2014-07-11 |