| NPI | 1083347967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A192452) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35143869) |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2026-01-06 |