| NPI | 1205280377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TN 69425) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: AL 44629) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2023-12-19 |