NPI | 1730116971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MN 41151) |
Additional Taxonomies | 208600000X Surgery (Licence: MN 41151) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2011-12-08 |