| NPI | 1558817965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: UT 13972898-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61430201) |
| 208200000X Plastic Surgery (Licence: WA MD61430201) | |
| Enumeration Date | 2016-08-27 |
| Last Update Date | 2024-09-11 |