| NPI | 1780864595 |
|---|---|
| Former Name | MARY E. BOHNENBLUST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX N6819) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: TX N6819) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX N6819) | |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2022-08-26 |