NPI | 1467956466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX V1039) |
Additional Taxonomies | 208600000X Surgery (Licence: GA 90408) |
Enumeration Date | 2018-03-23 |
Last Update Date | 2024-07-30 |