| NPI | 1568662971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ND PT14911) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 245260-1) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2018-01-16 |