| NPI | 1982022307 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME165615)  | 
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL me165615)  | 
| Enumeration Date | 2014-04-02 | 
| Last Update Date | 2025-10-23 |