| NPI | 1194253930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CT 78149) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MA 1014667) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2024-08-19 |