| NPI | 1669405924 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME82022)  | 
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME82022)  | 
| Enumeration Date | 2006-07-09 | 
| Last Update Date | 2019-07-09 |