| NPI | 1891051868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: WA MD60470547) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: WA MD60470547) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WA MD60470547) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2019-10-04 |