NPI | 1790145084 |
---|---|
Former Name | ANOUCHKA HELENE COSTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: FL OS20225) |
Additional Taxonomies | 208600000X Surgery (Licence: CA 20A19562) |
208600000X Surgery (Licence: NY 296231) | |
Enumeration Date | 2016-02-29 |
Last Update Date | 2024-01-23 |