| NPI | 1194981787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MN 57663) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH 35.132152) |
| Enumeration Date | 2008-08-02 |
| Last Update Date | 2020-08-21 |