NPI | 1588026850 |
---|---|
Former Name | PAULA ROCHA GRAVINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME165137) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: PA MD478951) |
Enumeration Date | 2016-03-24 |
Last Update Date | 2023-11-29 |