| NPI | 1083078745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA C174480) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MN 64545) |
| 208200000X Plastic Surgery (Licence: MN 27611) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-04-29 |