| NPI | 1063679512 |
|---|---|
| Former Name | MARY C ELLIOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: LA MD.202966) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: LA MD.202966) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2018-08-21 |