| NPI | 1669960241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A204562) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0116031645) |
| Enumeration Date | 2018-04-29 |
| Last Update Date | 2026-01-15 |