| NPI | 1114949302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: LA MD.015672) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA LA1714519) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2017-06-28 |