NPI | 1154737195 |
---|---|
Former Name | CASEY MARIE DEDEUGD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX U0841) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2019-01093) |
Enumeration Date | 2014-07-10 |
Last Update Date | 2023-10-20 |