| 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 |