| NPI | 1093394652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101285701) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101285701) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2025-09-15 |