| NPI | 1912263583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CA A127475) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A127475) |
| 207T00000X Neurological Surgery (Licence: MO 2019024509) | |
| 207T00000X Neurological Surgery (Licence: NH 22728) | |
| Enumeration Date | 2012-04-07 |
| Last Update Date | 2024-04-08 |