| NPI | 1346357480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MA 57200) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MA 57200) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2011-11-02 |