| NPI | 1154702546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME147809) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MO 2015017599) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME147809) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2024-02-19 |