Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 0103300967 | VA |
NPI | 1366581852 |
---|---|
Provider Name | Charlotte Sekhon |
First Address | Rolla, MO 65401-2905 |
Second Address | Rolla, MO 65401-2905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 16/07/2010 |