| NPI | 1780046805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MN 62752) |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: MN 62752) |
| 207R00000X Internal Medicine (Licence: IL 125.069026) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2022-07-21 |