| NPI | 1528405180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101277030) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 76055) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2023-01-14 |