NPI | 1902284557 |
---|---|
Former Name | ASHLEY SILAKOSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL 163176) |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MA 283128) |
Enumeration Date | 2015-05-15 |
Last Update Date | 2023-10-13 |