| NPI | 1427314921 |
|---|---|
| Former Name | BRIAR LEA TERON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 273704) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CT 57320) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2018-07-27 |