| NPI | 1538535612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA 182684) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA F627) |
| 207T00000X Neurological Surgery (Licence: PA MD455302) | |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2025-07-30 |