| NPI | 1407218472 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OR MD225778)  | 
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX U7775)  | 
| Enumeration Date | 2016-03-28 | 
| Last Update Date | 2025-08-04 |