NPI | 1245804616 |
---|---|
Former Name | SARA MARIE SLABBEKOORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 39595) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-05-19 |
Last Update Date | 2022-05-23 |