| NPI | 1194826248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0074046) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: WY 6411A) |
| 208200000X Plastic Surgery (Licence: NY 249985) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2013-08-05 |