| NPI | 1922427939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KS 04-44624) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WI 65284) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2021-05-30 |