| NPI | 1215990155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: DE C10008018) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: OH 35074473b) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2007-07-08 |