| NPI | 1588196141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX U0441) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AL 44406) |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2023-03-14 |