| NPI | 1366484990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: DC MD039256) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 057460) |
| 208200000X Plastic Surgery (Licence: GA 057460) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2014-05-30 |