| NPI | 1689434458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0116041090) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.083486) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2025-06-13 |