| NPI | 1184763195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NM MD2007-0451) |
| Additional Taxonomies | 208600000X Surgery (Licence: NM MD2007-0451) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-07-12 |