| NPI | 1699821223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO 43140) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO DR-43140) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2012-09-06 |