NPI | 1609305648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: SC 51145) |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TN 67700) |
Enumeration Date | 2017-06-05 |
Last Update Date | 2025-06-09 |