| NPI | 1023236494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: RI MD13340) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MA 245997) |
| 208200000X Plastic Surgery (Licence: MD D0069074) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2010-11-09 |