| NPI | 1487430740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CT 23.006282) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CT 23.006282) |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-29 |