| NPI | 1063949311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX U4802) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX U4802) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX BP10060961) | |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2024-01-08 |