| NPI | 1144376815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301506782) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO 43942) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-11-04 |