| NPI | 1245526607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD494742) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207T00000X Neurological Surgery (Licence: FL ME153470) | |
| 207T00000X Neurological Surgery (Licence: CA A122057) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2026-08-20 |