NPI | 1548737281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 022873-1) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA7865) |
Enumeration Date | 2018-10-31 |
Last Update Date | 2021-09-30 |