| NPI | 1225483894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD485201) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A186524) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2024-08-26 |