| NPI | 1134393986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD439621) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D81566) |
| 208600000X Surgery (Licence: MA AS4148501 E226121) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD D81566) | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2023-02-08 |