| NPI | 1801082896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME114695) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: UT 6049221-1205) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2013-08-08 |