| NPI | 1588082788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TN 71456) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD182532) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2024-09-22 |