| NPI | 1265060891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WA MD70100023) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: WA MD70100023) |
| 208200000X Plastic Surgery (Licence: WA MD70100023) | |
| 208000000X Pediatrics (Licence: WA MD70100023) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-06-09 |