| NPI | 1386062412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35142850) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35142850) |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2024-10-16 |