| NPI | 1073184891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: DC MD500003049) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 33489) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0008514) | |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2024-09-19 |