| NPI | 1194084327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R6972) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX BP10044390) |
| 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TX BP10044390) | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2018-09-05 |