NPI | 1093254617 |
---|---|
Former Name | ATLEE MELILLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301514289) |
Additional Taxonomies | 208600000X Surgery (Licence: MA 1018704) |
Enumeration Date | 2017-02-15 |
Last Update Date | 2025-05-12 |