| NPI | 1902166408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD473053) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OH 35.131044) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2025-08-21 |