| NPI | 1063763548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 303473) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA 20A19767) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2025-07-25 |