NPI | 1548402308 |
---|---|
Former Name | JANELLE ASHLEY DUBBINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WA MD60224920) |
Enumeration Date | 2009-03-25 |
Last Update Date | 2022-06-02 |