| NPI | 1164631024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301093488) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH 35-089408) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2015-09-29 |