| NPI | 1710447586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 76250) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ME MD29316) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-06-16 |