| NPI | 1962720821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: MI 4301116571) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH 35127325) |
| 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CA A112635) | |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2025-06-30 |