| NPI | 1912230988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WA MD60184478) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MA 234133) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2015-02-23 |