| NPI | 1740608207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CT 034391) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CT 034391) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2023-03-07 |