| NPI | 1689136574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WA MD.MD.70118479) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WA MD.MD.70118479) |
| 208000000X Pediatrics (Licence: WA MD.MD.70118479) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2026-08-27 |