| NPI | 1740484302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery Surgery of the Hand (Licence: MS 22944) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX N7411) |
| 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TX BP1-0026911) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2021-03-09 |