| NPI | 1902010192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MO 2005016627) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: MI EMC0002014) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WA MD61266092) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MI EMC0002014) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2022-07-12 |