| NPI | 1700809621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: SC MD37273) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: SC md37273) |
| 207W00000X Ophthalmology (Licence: CA A86457) | |
| 208200000X Plastic Surgery (Licence: NC 2012-00685) | |
| 207W00000X Ophthalmology (Licence: NC 2012-00685) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-05-11 |