| NPI | 1144309006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: RI MD13106) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MA 214898) |
| 208600000X Surgery (Licence: MA 214898) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-08-10 |