| NPI | 1134291503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AK 126936) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX K1730) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX K1730) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2025-06-10 |