| NPI | 1407916703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA C207610) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 59792) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2026-05-11 |