| NPI | 1538461421 |
|---|---|
| Former Name | ESSIE KUEBERUWA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME126632) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IL 125057593) |
| Enumeration Date | 2010-11-26 |
| Last Update Date | 2023-09-20 |