| NPI | 1043744212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: KS 0451388) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MO 2025034542) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA FC8155360) | |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2025-11-20 |