NPI | 1558817965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: WA MD61430201) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61430201) |
Enumeration Date | 2016-08-27 |
Last Update Date | 2023-09-29 |