| NPI | 1679003651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD469476) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NJ 25MA12655500) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2026-05-11 |