| NPI | 1104322072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 35.155592) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO DR.0074848) |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2026-04-15 |