| NPI | 1164492021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2014-00571) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: SC 14997) |
| 207T00000X Neurological Surgery (Licence: CT 014997) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2014-07-02 |