| NPI | 1487872255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX Q8747) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 51190) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MN 51190) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2021-07-09 |