NPI | 1649685660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CT 1.071697) |
Additional Taxonomies | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: CT 1.071697) |
Enumeration Date | 2014-06-28 |
Last Update Date | 2023-04-25 |