NPI | 1285080846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD D0093570) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD D0093570) |
Enumeration Date | 2016-05-12 |
Last Update Date | 2023-12-31 |