| NPI | 1730542002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301516708) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: ND PT23945) |
| 207T00000X Neurological Surgery (Licence: WA MD61528945) | |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2026-02-26 |