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 |