| NPI | 1306077854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: KS 04-36598) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NJ MA08688800) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2013-08-06 |