| NPI | 1265556344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A132303) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NV 13407) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2023-03-07 |