| NPI | 1992955090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OR MD194846) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR MD194846) |
| 208200000X Plastic Surgery (Licence: CA A121506) | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2019-08-16 |