| NPI | 1912067539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101049303) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD D0040909) |
| 207T00000X Neurological Surgery (Licence: DC MD20341) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-11-14 |