| NPI | 1598839128 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME89129)  | 
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: FL ME89129)  | 
| Enumeration Date | 2006-11-17 | 
| Last Update Date | 2011-11-29 |