NPI | 1497844849 |
---|---|
Former Name | LAURIE THERESA OLBRICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-0190) |
Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: AR E-0190) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2023-03-07 |