| NPI | 1194257444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 307915) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 307915) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2025-02-14 |