| NPI | 1093080459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: KY 58556) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IA MD-47125) |
| 208600000X Surgery (Licence: KY 58556) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2024-03-19 |