| NPI | 1225416001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 69765) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.139186) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2021-08-03 |