| NPI | 1497190177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 65408) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 72305) |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: WA MD60838780) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2023-08-14 |