| NPI | 1326074196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WI 37943) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: WI 37943) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2021-11-19 |