| NPI | 1891080503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 75742) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IA MD-45165) |
| 207T00000X Neurological Surgery (Licence: NY 311451) | |
| 207T00000X Neurological Surgery (Licence: MO 2019016455) | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2024-01-26 |