| NPI | 1003376997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 69065) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 30253) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2021-05-03 |