| NPI | 1063855641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OR MD198941) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OR MD198914) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2020-11-17 |