| NPI | 1316457690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 113740) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: NY 113740) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 113740) | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |