| 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 |