NPI | 1275896003 |
---|---|
Former Name | CAITLIN CLAIRE MEADOWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MN 64072) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125061544) |
Enumeration Date | 2012-06-18 |
Last Update Date | 2018-08-05 |