| NPI | 1124473657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MN 71307) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 34.015133) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2022-09-11 |