NPI | 1003220849 |
---|---|
Other Name | CASSIE ALYS LIGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CO DR.0064696) |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: PA MT206377) |
Enumeration Date | 2014-06-19 |
Last Update Date | 2021-03-14 |