| NPI | 1134270077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0026698) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD D0026698) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2010-06-20 |