| NPI | 1356637722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 2019-01477) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 036-134407) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2021-05-14 |