| NPI | 1437515426 |
|---|---|
| Former Name | ROSA LYNN CRYSTAL MAALOUF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA058049) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 019165) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2021-03-16 |