| NPI | 1063660819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CO 46205) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY 1679111) |
| 208200000X Plastic Surgery (Licence: NM 9677) | |
| 208200000X Plastic Surgery (Licence: CO 46205) | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2021-03-19 |