NPI | 1578839940 |
---|---|
Former Name | ANITA SCARLETT ELKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KS 0440826) |
Enumeration Date | 2012-03-29 |
Last Update Date | 2024-04-25 |