| NPI | 1639139975 |
|---|---|
| Former Name | LORI ALISON OETTING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD028139E) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD60239419) |
| 2086X0206X Surgery Surgical Oncology (Licence: PA MD028139E) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2018-03-02 |