| NPI | 1124492442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV 823747) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NV RN43826) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2019-08-26 |