| NPI | 1902065758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA MD.205639) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 252658) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2012-11-13 |