| NPI | 1427024587 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: RI MD16486)  | 
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MN 46572)  | 
| Enumeration Date | 2006-02-27 | 
| Last Update Date | 2018-11-30 |