| NPI | 1396088431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25MB11056000) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA OP61070406) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2021-09-20 |