| NPI | 1366423170 |
|---|---|
| Former Name | LORRAINE MAYER WOLPERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: NC 2009-01449) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: VA 0101240881) |
| 2086S0129X Surgery Vascular Surgery (Licence: MA 160722) | |
| 2086S0129X Surgery Vascular Surgery (Licence: CT 037930) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2009-08-21 |