NPI | 1598745523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MT 52558) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 224513) |
208200000X Plastic Surgery (Licence: MA 227587) | |
208200000X Plastic Surgery (Licence: NH 15092) | |
Enumeration Date | 2006-01-17 |
Last Update Date | 2018-07-12 |