| NPI | 1952629859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MN 64031) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME131020) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2018-07-17 |