| NPI | 1104311901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: ZZ 102462) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX BP10062260) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2019-02-15 |