| NPI | 1760833792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 72176) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 2020033506) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2024-07-08 |