| NPI | 1972864676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: LA 310188) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: VA 0101260584) |
| 208200000X Plastic Surgery (Licence: LA 310188) | |
| 208600000X Surgery (Licence: PA MT190955) | |
| 208600000X Surgery (Licence: LA 310188) | |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2023-03-28 |