NPI | 1275720211 |
---|---|
Former Name | KRISTEN ELIZABETH DERR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX P5274) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 250217) |
Enumeration Date | 2007-10-03 |
Last Update Date | 2020-04-27 |