| NPI | 1902061955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA 137141) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD458962) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2018-03-17 |