Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | 45923 | KY |
Y | 207XS0117X | Orthopaedic Spine Surgeon | A109669 | CA |
NPI | 1043455611 |
---|---|
Provider Name | Elizabeth Picinic Norheim |
First Address | Downey, CA 90242-2812 |
Second Address | Downey, CA 90242-2812 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2008 |
Last Update Date | 06/12/2021 |