| NPI | 1073831566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 66367) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA pending) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MN 66367) | |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2019-10-21 |