| NPI | 1821522657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301508798) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD485840) |
| 207T00000X Neurological Surgery (Licence: MI 4301111861) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2025-07-31 |