| NPI | 1528262102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TX M8291) |
| Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TX BP2-0019769) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2016-03-08 |