| NPI | 1205530961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 77463) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 33340) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2024-08-04 |