| NPI | 1003266354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MO 2016019457) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: AZ 68609) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2023-09-05 |