| NPI | 1437592094 |
|---|---|
| Former Name | ALICIA CAROL LOLWING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 65939) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 65939) |
| Enumeration Date | 2013-04-14 |
| Last Update Date | 2024-01-05 |