| NPI | 1508152554 |
|---|---|
| Former Name | LINDSEY ANN DIERLAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 02005082A) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101019350) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2022-07-21 |