| NPI | 1164982294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 68351) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 30052) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2020-10-22 |