| NPI | 1255589180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX N4200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N4200) |
| 208200000X Plastic Surgery (Licence: TX N4200) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2019-07-25 |