| NPI | 1033318589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AR E-7510) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL TRN9979) |
| 208200000X Plastic Surgery (Licence: AR E7510) | |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2013-08-29 |