| NPI | 1316519309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL PA9113520) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL 9113520) |
| Enumeration Date | 2021-07-11 |
| Last Update Date | 2024-01-10 |