NPI | 1194762070 |
---|---|
Former Name | RENEE S LAURITZEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: CA G77320) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD223766) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2025-03-21 |