| NPI | 1225083116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD465503) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME133409) |
| 208D00000X General Practice (Licence: PR 14717) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2019-12-23 |