| NPI | 1902056450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO DR.0055116) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MS T2149) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2015-07-08 |