NPI | 1184945297 |
---|---|
Former Name | KATHRYN WIESMAN CECIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX Q8221) |
Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MO 2015010246) |
Enumeration Date | 2010-06-13 |
Last Update Date | 2022-01-04 |