NPI | 1376937524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A171276) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A171276) |
2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: CA A171276) | |
Enumeration Date | 2015-03-25 |
Last Update Date | 2024-07-08 |