NPI | 1093937468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: OR MD153865) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: OR MD153865) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2021-01-18 |