| NPI | 1497285894 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: IL 125071364)  | 
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125.071364)  | 
| Enumeration Date | 2017-06-18 | 
| Last Update Date | 2019-06-10 |