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 |