NPI | 1376561936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA 20A16643) |
Additional Taxonomies | 208600000X Surgery (Licence: SC LL923) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2019-02-14 |