| NPI | 1891228938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NY 330004) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NJ 25MA12693800) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2025-09-09 |