| NPI | 1346506995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A128856) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: PA MD492756C) |
| 208600000X Surgery (Licence: CA A128856) | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2026-04-22 |