NPI | 1013274950 |
---|---|
Former Name | LAURA ANNE VOGEL ABERNATHIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: AZ 58739) |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CT 56392) |
207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CO DR.0060398) | |
Enumeration Date | 2012-04-17 |
Last Update Date | 2024-05-28 |