| NPI | 1174688337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD434202) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NJ 25MA08185600) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-09-22 |