NPI | 1841679198 |
---|---|
Former Name | JESSICA LAHRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: PA md473351) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A168389) |
207X00000X Orthopaedic Surgery (Licence: TX BP10054321) | |
Enumeration Date | 2015-05-20 |
Last Update Date | 2024-01-12 |