| NPI | 1346632551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MN 70203) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2020010481) |
| 207X00000X Orthopaedic Surgery (Licence: MN 70203) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MO 2020010481) | |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2022-02-18 |