| NPI | 1134418700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX T2411) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 257717) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MA 257717) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2021-08-30 |