| NPI | 1861559163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME153687) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 261103) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2025-10-15 |