| NPI | 1407014301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 231498) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 231498) |
| 208200000X Plastic Surgery (Licence: MD D67928) | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: MD D67928) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MD D67928) | |
| 208600000X Surgery (Licence: MD D67928) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD D67928) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: MD D67928) | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: NY 231498) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NY 231498) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 231498) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: NY 231498) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2016-12-24 |