| NPI | 1134447030 |
|---|---|
| Former Name | MARIELLE CONNOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: FL ME126475) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL TRN14929) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2018-01-03 |