| NPI | 1255478533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MD d0067794) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD d0067794) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-11-05 |