| NPI | 1568405546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G18778) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G18778) |
| 208200000X Plastic Surgery (Licence: CA G18778) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-01-14 |