| NPI | 1811307655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV 22345) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA xxxxxxx) |
| 207T00000X Neurological Surgery (Licence: MN 69138) | |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2022-06-29 |