NPI | 1376959593 |
---|---|
Former Name | KATHLEEN KOLLITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0064432) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 59462) |
Enumeration Date | 2014-07-08 |
Last Update Date | 2020-09-02 |