| NPI | 1376939702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2023027633) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: UT 10100650-1205) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2023-08-02 |