| NPI | 1962611277 |
|---|---|
| Former Name | LISA DAWN HAGRELIUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MI 4301085936) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA A112336) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-10-04 |