| NPI | 1811995806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: MA 81274) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MA 81274) |
| 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: MA 81274) | |
| 2082S0105X Plastic Surgery Surgery of the Hand (Licence: MA 81274) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2011-10-04 |