| NPI | 1730541558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NM MD2024-0572) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA MD61402591) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-08-05 |