| NPI | 1164272761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 80430) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 34348) |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2025-08-07 |