| NPI | 1255450151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4704217546) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704217546) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2011-05-04 |