| NPI | 1265616007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: DC MD040080) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD D0071243) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2020-05-14 |