| NPI | 1699732941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G073000) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA G073000) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2021-07-29 |