| NPI | 1205363975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301514455) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301112153) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2025-08-14 |