| NPI | 1104911759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AR C-6136) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: AR C6136) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-12-14 |