NPI | 1841449808 |
---|---|
Former Name | ALYSSA JULIE REIFFEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 250972) |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MA11761700) |
Enumeration Date | 2008-09-15 |
Last Update Date | 2023-06-13 |