| NPI | 1689980294 |
|---|---|
| Former Name | JOHANNA PATRICIA SERRANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: PA MD452562) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 287419) |
| 282N00000X General Acute Care Hospital (Licence: PA MD452562) | |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2021-01-18 |