| NPI | 1326027665 |
|---|---|
| Former Name | MICHELLE LEE FONTAINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 275678) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D0065615) |
| Enumeration Date | 2006-01-14 |
| Last Update Date | 2019-01-29 |