| NPI | 1356419824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MD D0041082) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: DC MD17911) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-07-21 |