| NPI | 1174181671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 202502827) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301506316) |
| 208200000X Plastic Surgery (Licence: MD D0100113) | |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2025-08-26 |