NPI | 1265092951 |
---|---|
Former Name | KATHERINE ELIZABETH MALLETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 68697) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 30267) |
Enumeration Date | 2019-06-16 |
Last Update Date | 2021-02-16 |