| NPI | 1447695937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD479467) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: UT 12806169-1205) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2024-03-21 |