| NPI | 1336309434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: ID M-12462) |
| Additional Taxonomies | 208600000X Surgery (Licence: ID M-12462) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2015-04-06 |