| NPI | 1952888059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: IL 125.073584) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 276730) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2019-06-12 |