NPI | 1336184258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: GA 050555) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA 050555) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2013-02-21 |