| NPI | 1811199912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 47060) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OR MD60213906) |
| 207T00000X Neurological Surgery (Licence: AZ FA2645147) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR LL16239) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-03-13 |