NPI | 1568503191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MN 49671) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: MN 49671) |
208600000X Surgery (Licence: MN 49671) | |
Enumeration Date | 2007-02-08 |
Last Update Date | 2023-08-01 |