| NPI | 1578876116 |
|---|---|
| Former Name | KELLY NICOLE CARLBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IN 01077262A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301096543) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01077262A) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WI 63083) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2023-04-13 |