| NPI | 1376937524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A171276) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: CA A171276) |
| 208200000X Plastic Surgery (Licence: CA A171276) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2025-05-05 |