| NPI | 1730217704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OR MD153921) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA MD00036204) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2023-11-22 |