| NPI | 1023435997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD484464) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD484464) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2025-03-31 |