| NPI | 1346452018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX Q3703) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 103922-875) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2026-08-07 |