| NPI | 1235187691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NH 9816) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: ME MD14955) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-07-18 |