| NPI | 1861594574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WA MD60105159) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA ML20007533) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2021-12-10 |