NPI | 1992157192 |
---|---|
Former Name | EMILY HEFFERNEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA MD-48293) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA R-10558) |
207X00000X Orthopaedic Surgery (Licence: MN 68882) | |
Enumeration Date | 2016-07-12 |
Last Update Date | 2021-08-03 |