| NPI | 1518014331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301091043) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 81105) |
| 207X00000X Orthopaedic Surgery (Licence: SC 34052) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2025-11-03 |