| NPI | 1205577731 |
|---|---|
| Former Name | ABIGAIL JO BARDWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 74604) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 32481) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2025-09-24 |