| NPI | 1063615904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301062181) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OK 40672) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2024-05-13 |