| NPI | 1780604207 |
|---|---|
| Professional Name | ELIZABETH ROYA ZICKMUND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: OR 196812) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY 214441) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-08-29 |