| NPI | 1376538298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OH 35054021B) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OH 35054021B) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: WV 14863) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WV 14863) | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2021-12-15 |