| NPI | 1316243512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 73081) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301096123) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2023-04-05 |