| NPI | 1841949351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2024-02633) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NC 2024-02633) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2026-07-31 |