| NPI | 1366624736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI EMC0004356) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D72001) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2026-03-25 |