| NPI | 1124280649 |
|---|---|
| Former Name | THERESA ANNE ROSENDAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: ND 12751) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: ND 12751) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2022-02-15 |