| NPI | 1144392820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TX H5945) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX H5945) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2014-01-28 |