| 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 |