NPI | 1376109777 |
---|---|
Former Name | ALEXIS ANNE BLIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NJ 25MA12296700) |
Enumeration Date | 2019-05-13 |
Last Update Date | 2024-06-24 |