| NPI | 1376071407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX V8265) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 83514) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2025-08-08 |