| NPI | 1013151430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MN 51803) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: WI 65389-20) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2018-05-31 |