| NPI | 1861808651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 76243) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MN 59575) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2024-05-31 |