| NPI | 1124252770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OH 34.015408) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IA DO-04568) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2023-06-27 |