| NPI | 1104146133 |
|---|---|
| Former Name | JOLIETTE NICOLE BARNUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME133013) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 93469) |
| 2086S0127X Surgery, Trauma Surgery (Licence: FL ME133013) | |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2024-10-22 |