NPI | 1992045090 |
---|---|
Former Name | ABBE MICHELLE MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TX P4783) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: MI 5101020787) |
208200000X Plastic Surgery (Licence: TX P4783) | |
2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: MI 5101020787) | |
Enumeration Date | 2013-02-26 |
Last Update Date | 2023-06-21 |