| NPI | 1649360728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: ID M-7457) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: ID M7457) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2015-12-22 |