NPI | 1528164126 |
---|---|
Other Name | CONNIE SEKULOVICH JOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G25370) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2007-07-09 |