NPI | 1033236823 |
---|---|
Former Name | SEANN ELISE CARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301091485) |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MI 4301091485) |
Enumeration Date | 2007-03-25 |
Last Update Date | 2012-01-11 |