NPI | 1124478250 |
---|---|
Former Name | MICHELE MARIE ROSSI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MI 5151010597) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: MI 5151010597) |
208600000X Surgery (Licence: MI 5101022679) | |
Enumeration Date | 2016-06-20 |
Last Update Date | 2021-06-22 |