| NPI | 1649450370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 251898) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A83868) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2012-05-23 |