| NPI | 1639556426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 73725) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 4301107004) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2023-05-04 |