| NPI | 1699825885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 43494) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: AZ 43494) |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery (Licence: AZ 43494) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2021-03-26 |