| NPI | 1043559560 |
|---|---|
| Former Name | DANIELLE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX T1670) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MO 2015017302) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2022-06-17 |