| NPI | 1225361967 |
|---|---|
| Former Name | DOROTHY WATERBURY LUKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NJ 25MA09480500) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 241668) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2018-10-03 |