| NPI | 1659569200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: ND 13038) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA MD61401633) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2024-05-16 |