| NPI | 1376317321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WA MD61505487) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 73876) |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2024-02-27 |