| NPI | 1558861542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: RI LP05437) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 6170644) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2023-06-28 |