| NPI | 1124048343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX M4110) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: GA 051940) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-11 |