| NPI | 1205085222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 209900-1) |
| Additional Taxonomies | 2085R0001X (Licence: NY 209900-1) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |