| NPI | 1043577190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: VA 0101266133) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: WI 61439) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2023-11-15 |