| NPI | 1881805174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI 4301104470) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35.092734) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2014-04-04 |