| NPI | 1629356662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX R6946) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A147157) |
| 208600000X Surgery (Licence: MI 4301099420) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A147157) | |
| 208200000X Plastic Surgery (Licence: TX R6946) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2020-09-03 |