| NPI | 1659787372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 63247) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MN 59513) |
| 2086S0105X Surgery, Surgery of the Hand (Licence: MN 59513) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: AZ 63247) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2024-12-05 |