NPI | 1528453347 |
---|---|
Former Name | KRISTIN ROENSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: WI 75866) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 75866) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2024-09-09 |