| NPI | 1013084615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 50690) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA OS013649) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2016-04-18 |