| NPI | 1588059430 |
|---|---|
| Former Name | KAITLYN MARIE ALCORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AR E-15817) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NJ 25MA11233000) |
| 208200000X Plastic Surgery (Licence: CT 69381) | |
| 208200000X Plastic Surgery (Licence: NY 312382) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2025-02-19 |