| NPI | 1265743140 |
|---|---|
| Former Name | ABIGAIL MARIE MACIOLEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 036-143445) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2020-05-22 |