NPI | 1972705366 |
---|---|
Former Name | SUZANNE MICHELLE GRILLOT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: KS 04-33104) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MO 2008020473) |
Enumeration Date | 2007-06-05 |
Last Update Date | 2019-07-26 |