| NPI | 1205815339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 161107) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 161107) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2008-02-05 |