| NPI | 1649685348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 71109) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2019-00016) |
| 207X00000X Orthopaedic Surgery (Licence: OH 35.139367) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-07-05 |