| NPI | 1053610832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: DC MD046456) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: WA MD60487179) |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2018-09-19 |