NPI | 1558535989 |
---|---|
Former Name | SARA CATHERINE LEWICKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VT 042.0013090) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NH 15982) |
207X00000X Orthopaedic Surgery (Licence: MN 58038) | |
Enumeration Date | 2008-04-16 |
Last Update Date | 2015-09-18 |