| NPI | 1053798728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MN 62188) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 62188) |
| 208600000X Surgery (Licence: MN 62188) | |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2023-08-16 |