NPI | 1023089075 |
---|---|
Former Name | TRACI SUZANNE BARTHEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD00039700) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD00039700) |
Enumeration Date | 2006-01-29 |
Last Update Date | 2023-01-05 |