NPI | 1871986984 |
---|---|
Former Name | HEATHER SEEDHOUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: OH 34.012696) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-03-13 |
Last Update Date | 2022-03-09 |