| NPI | 1750379624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: PA MD068309L) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: PA MD068309L) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2017-02-02 |