NPI | 1316175433 |
---|---|
Former Name | SHOSHANA LARA WOO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD458694) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301094278) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MD458694) | |
208200000X Plastic Surgery (Licence: MI 4301094278) | |
Enumeration Date | 2009-06-26 |
Last Update Date | 2017-04-20 |