| NPI | 1750725974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MI 4301117535) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301117535) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2023-10-04 |