NPI | 1518212588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A165047) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH 35.136242) |
2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: PA MT202381) | |
Enumeration Date | 2012-07-17 |
Last Update Date | 2019-10-03 |