| NPI | 1376560284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME145374) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME145374) |
| 208200000X Plastic Surgery (Licence: FL ME145374) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2023-12-04 |