| NPI | 1700346160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MN 67764) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 67764) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2023-06-30 |