NPI | 1275733081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TN 49667) |
Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: IL 125-052772) |
2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: FL ME138870) | |
Enumeration Date | 2007-07-19 |
Last Update Date | 2023-02-17 |