| NPI | 1720465024 |
|---|---|
| Former Name | PRIYA GOLDIE GOMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: UT 12789449-1205) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A143823) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2023-07-24 |