| NPI | 1992141907 |
|---|---|
| Former Name | ASHLEE FAITH LAFONTAINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: IA MD-48166) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD54621) |
| 208000000X Pediatrics (Licence: MN 58093) | |
| 208000000X Pediatrics (Licence: IA MD-48166) | |
| 2080S0010X Pediatrics Sports Medicine (Licence: TN MD54621) | |
| 2080S0010X Pediatrics Sports Medicine (Licence: IA MD-48166) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2021-08-18 |