| NPI | 1134325152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 35228) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: KY 40083) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2023-02-02 |