NPI | 1922149228 |
---|---|
Former Name | JENNIFER T AMMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: FL ME147283) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 062649) |
207XS0106X Orthopaedic Surgery Hand Surgery (Licence: GA 062649) | |
Enumeration Date | 2007-02-09 |
Last Update Date | 2020-12-21 |