| NPI | 1174717649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NC 2018-02285) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A91365) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2022-06-30 |