| NPI | 1144632969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CT 69545) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: RI LP03168) |
| 208200000X Plastic Surgery (Licence: CA A168897) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2021-09-20 |