| NPI | 1831489442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OR MD198904) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA MD60581884) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2023-03-07 |