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 |