| NPI | 1205263050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: DC MD500002665) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD D0099180) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2025-01-27 |