| NPI | 1013511518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NJ 26NJ01388500) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD R246064) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2023-02-04 |