| NPI | 1245679687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 61986) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 63403) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2021-02-16 |