| NPI | 1477999191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA OS019987) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NJ 25MB10274100) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2019-06-05 |