| 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 |