NPI | 1124068291 |
---|---|
Former Name | THEA A WOJTKOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 47982) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD00044171) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2020-11-25 |