| NPI | 1023174901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: GA 070000) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: PA MT188087) |
| 208200000X Plastic Surgery (Licence: GA 70000) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2016-07-29 |