NPI | 1083659262 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WA MD00037309) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: WA MD00037309) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2008-02-13 |