| NPI | 1023270279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 35127143) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2008016446) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2017-02-21 |