| NPI | 1316258569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101261902) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MT197142) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2021-10-05 |