| NPI | 1275748220 |
|---|---|
| Former Name | KELLY ELLEN LESPERANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MO 2007011381) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 75893) |
| 208600000X Surgery (Licence: MO 2007011381) | |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2022-06-21 |