| NPI | 1053531012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TN 50600) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD P17006) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2014-01-30 |