| 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 |