NPI | 1386140531 |
---|---|
Former Name | ALEXIS KING MATRKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2023-01462) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 100443) |
Enumeration Date | 2018-04-04 |
Last Update Date | 2024-06-21 |