| NPI | 1538199096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD D0037263) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0037263) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2016-08-11 |