| NPI | 1679418263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: TX 1683241) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX 1683241) |
| Enumeration Date | 2026-04-21 |
| Last Update Date | 2026-04-21 |