| NPI | 1750385209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WA MD00033468) |
| Additional Taxonomies | 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: WA MD00033468) |
| 2082S0105X Plastic Surgery Surgery of the Hand (Licence: WA MD00033468) | |
| 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: WA MD00033468) | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2010-03-18 |