| NPI | 1114345212 |
|---|---|
| Former Name | ELLEN MICHELLE MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME145344) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2023-11-11 |