| NPI | 1316332133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA A185115) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A185115) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2025-09-10 |