| NPI | 1194112870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A204050) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: KY 55738) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2025-09-11 |