| NPI | 1639387335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME136089) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO 50301) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2018-07-06 |