| NPI | 1588297527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IA 109787) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA 109787) |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2021-08-17 |