| NPI | 1023548997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AR E-17747) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: LA 336031) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2025-07-17 |