| NPI | 1831415561 |
|---|---|
| Former Name | JULIA ANNE CICCOCIOPPI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: KS 04-48086) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH 35136570) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2024-11-05 |