| NPI | 1427411818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME163606) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: WI 68389-20) |
| 208200000X Plastic Surgery (Licence: MD D94152) | |
| 208200000X Plastic Surgery (Licence: FL ME163606) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2024-11-07 |