| NPI | 1104319045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA 353574) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35.152935) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2026-07-21 |