| NPI | 1902925738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL OS11582) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MI 5101016312) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-07-05 |