| NPI | 1558548719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 297294) |
| Additional Taxonomies | 2086S0120X Surgery Pediatric Surgery (Licence: NY 297294) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2019-05-06 |