| NPI | 1497753438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX L2831) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX L2831) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2022-07-08 |