NPI | 1558656983 |
---|---|
Former Name | LATTISHA LATOYA ROWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 077665) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10040944) |
Enumeration Date | 2011-06-14 |
Last Update Date | 2022-07-21 |