| NPI | 1235328378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX P3026) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX P3026) |
| 208600000X Surgery (Licence: TX P3026) | |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2025-03-25 |