| NPI | 1356760631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL OS23338) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MB11540300) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: PA OS022028) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 334759-01) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2026-04-07 |