| NPI | 1487067021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 229N00000X Anaplastologist |
| Additional Taxonomies | 246ZA2600X Specialist/Technologist, Other, Art, Medical |
| 246ZI1000X Specialist/Technologist, Other, Illustration, Medical | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2019-04-02 |