NPI | 1104215318 |
---|---|
Former Name | KERRY-ANN ANGELLA STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35140186) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA 136103) |
Enumeration Date | 2015-01-12 |
Last Update Date | 2020-12-21 |