| NPI | 1770088510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 65956) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 95400) |
| 207X00000X Orthopaedic Surgery (Licence: MN 29233) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-02-16 |