| NPI | 1679656888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: DC MD33198) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OK 29323) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2012-09-26 |