| NPI | 1730684341 |
|---|---|
| Former Name | ALLISON SHANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME164514) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL ME164514) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-11-04 |