| NPI | 1093153819 |
|---|---|
| Former Name | HEIDI J COMPTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: KS 05-43138) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NM A-2327-20) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OR DO189582) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2020-07-26 |