| NPI | 1639468234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD479104) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207T00000X Neurological Surgery (Licence: IN 01080144A) | |
| 207T00000X Neurological Surgery (Licence: TX S1414) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2022-10-03 |