| NPI | 1811194467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 287680) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 036-135887) |
| 208600000X Surgery (Licence: IL 125049952) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2019-12-16 |