| NPI | 1255699526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 272406) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 65310) |
| 207X00000X Orthopaedic Surgery (Licence: WI 72334) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2021-04-22 |