| NPI | 1639562622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NJ 25MB10888800) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA 20A21246) |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: CA 20A21246) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA 20A21246) | |
| Enumeration Date | 2015-03-15 |
| Last Update Date | 2024-08-13 |