| NPI | 1649389263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OR MD215909) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA MD60128001) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-10-11 |