| NPI | 1992127211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: HI 91178547) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: ZZ 976554130) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2017-02-18 |