| NPI | 1528121795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 83047) |
| Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: SC 83047) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2025-08-04 |