NPI | 1346432614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: SC 22185) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A79618) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2022-10-13 |