| NPI | 1265877252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: TX S4584) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX S4584) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2022-04-27 |