| NPI | 1235544602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MA 282059) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: KY Not yet issued) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KY R3419) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2021-04-29 |