NPI | 1629076856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CA G53909) |
Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: PA G53909) |
Enumeration Date | 2005-07-12 |
Last Update Date | 2018-04-04 |