| NPI | 1851518633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 229510) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MT048543) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2019-03-27 |