| NPI | 1811199235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MT 54809) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NV 13123) |
| 2086S0120X Surgery Pediatric Surgery (Licence: MT 54809) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2023-11-27 |