| NPI | 1225258965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA C165083) |
| Additional Taxonomies | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: CA C165083) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA C165083) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2024-02-14 |