| NPI | 1821351503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 63332) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301101105) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MN 63332) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2021-12-01 |