| NPI | 1699900704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NJ 25MB09171200) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL OS21128) |
| 207T00000X Neurological Surgery (Licence: TX t4041) | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2026-03-25 |