NPI | 1063685816 |
---|---|
Former Name | HEATHER CELEST GRIFFITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX N1668) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN10198) |
Enumeration Date | 2008-04-11 |
Last Update Date | 2013-07-16 |