| NPI | 1629286018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD434545) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NJ 25MA08528700) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2014-05-22 |