NPI | 1871821371 |
---|---|
Former Name | JENNIFER LYNN DELCAMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.126250) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 570165) |
207X00000X Orthopaedic Surgery (Licence: NC 2014-01044) | |
Enumeration Date | 2009-11-23 |
Last Update Date | 2022-07-21 |