| NPI | 1225221476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KS 04-34294) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL ME103041) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2015-04-08 |