| NPI | 1326223009 |
|---|---|
| Former Name | STACEE M WITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD00047978) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: WA MD00047978) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2020-12-04 |