| NPI | 1679764179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A121332) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NE 27100) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A121332) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 58383) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 66706) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2021-09-08 |