| NPI | 1639738644 |
|---|---|
| Former Name | ALEXIS MICHELLE RUFFOLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: KS 04-51286) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 125074635) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2025-08-11 |