| NPI | 1982760864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD431543) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: NJ 25MA09075900) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2021-10-12 |