NPI | 1457606584 |
---|---|
Former Name | LINDSAY JO PECKSKAMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: TN 3343) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2012021514) |
Enumeration Date | 2012-07-15 |
Last Update Date | 2023-03-07 |