NPI | 1457714552 |
---|---|
Former Name | AMBER L HARLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: CO DR.0071274) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NM MD2021-0777) |
Enumeration Date | 2016-04-05 |
Last Update Date | 2023-10-18 |