| NPI | 1225590334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX V6277) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY 335260) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2025-07-15 |