| NPI | 1336342120 |
|---|---|
| Former Name | LACEY A WILMOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: AZ 45818) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301087727) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2019-06-05 |