| 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 |