| NPI | 1194815704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: SC 29224) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: LA 201325) |
| 208200000X Plastic Surgery (Licence: UT 5088659-1205) | |
| 208200000X Plastic Surgery (Licence: MN 42536) | |
| 208200000X Plastic Surgery (Licence: CA A72255) | |
| 208200000X Plastic Surgery (Licence: NC 9801709) | |
| 208200000X Plastic Surgery (Licence: IL 336-077930) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |