| NPI | 1609658152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL PA9118122) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL PA9118122) |
| 363A00000X Physician Assistant (Licence: FL PA9118122) | |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2024-05-23 |