| NPI | 1104001791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25MA08889300) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD447260) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2018-02-23 |