| NPI | 1841296225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 35815) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: KY 35815) |
| 208600000X Surgery (Licence: KY 35815) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2019-03-05 |