| NPI | 1245902931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH APRN.CNP.0027895) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH APRN.CNP.0027895) |
| 208200000X Plastic Surgery (Licence: OH RN.412936) | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2022-03-21 |