| NPI | 1770667198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A94374) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA A94374) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A94374) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-04-29 |