NPI | 1205101664 |
---|---|
Former Name | SHAWN E WERNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 69161) |
Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: WI 69161) |
207X00000X Orthopaedic Surgery (Licence: MI 4301111582) | |
Enumeration Date | 2012-03-19 |
Last Update Date | 2021-11-19 |