NPI | 1396716080 |
---|---|
Former Name | LAURA M POWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036-104109) |
Additional Taxonomies | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: IL 036104109) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2017-01-31 |