| NPI | 1679795942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A110978) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 110978) |
| 208600000X Surgery (Licence: NE 25281) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AZ 43203) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-13 |