| NPI | 1043897457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 72055) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 31591) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2022-08-10 |