NPI | 1497782718 |
---|---|
Former Name | ELIZABETH WEST WEBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MN 54315) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 044748) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2023-05-18 |