| NPI | 1053102442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 83226) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 35408) |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2026-07-27 |