| NPI | 1114411527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 125.072309) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH 35.150526) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2024-04-30 |