| NPI | 1417012741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA C53509) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35086294) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2011-07-01 |