NPI | 1730848052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: NJ 25MP00671600) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 02774301) |
Enumeration Date | 2021-12-14 |
Last Update Date | 2025-07-21 |