| NPI | 1962565127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA MD.206396) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MT186916) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2021-06-17 |