NPI | 1235491655 |
---|---|
Former Name | ASHLEY ANN FROMMELT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 292072) |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME132730) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2022-08-30 |