| NPI | 1003107970 |
|---|---|
| Former Name | NATASHA ST. GERMAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 01012696555) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT-191359) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2021-09-27 |