| NPI | 1912965781 |
|---|---|
| Other Name | MARY SIMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA G86743) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G86743) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2008-07-29 |