NPI | 1104023712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: HI 15307) |
Additional Taxonomies | 208600000X Surgery (Licence: HI 15307) |
208D00000X General Practice (Licence: HI 15307) | |
Enumeration Date | 2007-06-27 |
Last Update Date | 2022-06-29 |