| NPI | 1326332388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA 310250) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: LA PGY.201793) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX P000109638) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2019-08-26 |