| NPI | 1285926857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KY TP569) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MT199136) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2018-05-08 |