| NPI | 1568756328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC 201902495) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0101269104) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2021-03-22 |