NPI | 1821231093 |
---|---|
Former Name | MELISSA LUBBERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CO 0053258) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A97850) |
2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MA 250523) | |
Enumeration Date | 2009-04-16 |
Last Update Date | 2021-12-21 |