| NPI | 1649775321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CT 82296) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0072568) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 337908) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2025-08-22 |