| NPI | 1780020529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL OS16209) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL TRN18792) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2023-10-12 |