NPI | 1568408607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CT 041129) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: CT 041129) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2015-05-05 |