NPI | 1962460923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 218005) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 218005) |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MA 218005) | |
Enumeration Date | 2006-05-01 |
Last Update Date | 2024-11-13 |