| NPI | 1790172880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 69938) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD61035105) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WA MD61035105) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2021-08-06 |