| NPI | 1780905398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX U4301) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME136683) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2023-06-12 |