| NPI | 1104389683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1017011) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 279993) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2024-08-22 |