NPI | 1962436386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CO 51737) |
Additional Taxonomies | 174400000X Specialist (Licence: FL H17497) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2015-12-08 |