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 |