NPI | 1306427455 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 74390) |
Additional Taxonomies | 208D00000X General Practice (Licence: NY 320874) |
Enumeration Date | 2021-04-20 |
Last Update Date | 2024-10-21 |