| NPI | 1588696025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: DE C1-0013381) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: DE C1-0013381) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MA 229118) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-11-07 |