| NPI | 1558341362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 46809) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AZ 43104) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2014-12-15 |