| NPI | 1417480955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301514625) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 77720) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2025-08-22 |