NPI | 1063694784 |
---|---|
Former Name | PAMELA GUTBIER ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 118025) |
Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NC 2009-01543) |
Enumeration Date | 2007-12-04 |
Last Update Date | 2022-01-04 |