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 |