| NPI | 1053799098 |
|---|---|
| Former Name | MICHELLE ANDREA ESTRADA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: GA 97836) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10052708) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2024-03-03 |