| NPI | 1093117228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OR PA172323) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA.200756) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2015-10-30 |