| NPI | 1790168987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A139908) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA MD61135447) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2025-09-15 |