| NPI | 1700446960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 76938) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 86269-20) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2025-08-19 |