| NPI | 1467708453 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 078249) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN18086) | 
| Enumeration Date | 2012-07-27 | 
| Last Update Date | 2022-01-10 |