| NPI | 1144286006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME132229) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OR MD25866) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2019-12-17 |