| NPI | 1851566228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CT 56457) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MI 4301106354) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2018-06-25 |