| NPI | 1568698405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MO 2014044164) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MO 2014044164) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KS 04-37774) | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2018-05-25 |