| NPI | 1871931493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MO 2021045105) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WA MD61005014) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11016988A) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2022-03-02 |