| NPI | 1689742397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MI fdo36977) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MI 4301036977) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2015-03-23 |