| NPI | 1952607251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: NY 259626) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 259626) |
| 2082S0105X Plastic Surgery Surgery of the Hand (Licence: NY 259626) | |
| 208600000X Surgery (Licence: AZ 005932) | |
| 2086S0127X Surgery Trauma Surgery (Licence: AZ 005932) | |
| 208200000X Plastic Surgery (Licence: WA OP 60329393) | |
| 208600000X Surgery (Licence: WA OP 60329393) | |
| 208600000X Surgery (Licence: FL OS 12793) | |
| 208200000X Plastic Surgery (Licence: FL OS 12793) | |
| 2086S0127X Surgery Trauma Surgery (Licence: FL OS 12793) | |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2016-09-02 |