| NPI | 1275270597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: VA 0002020291) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: VA 2020291) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |