| NPI | 1154324648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MD D18404) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD D0018404) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2016-08-25 |