| NPI | 1417103979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NC 2019-00213) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: PA MD193457) |
| 208200000X Plastic Surgery (Licence: WI 65795) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2021-11-29 |