| NPI | 1265691034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD460428) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: SD 9122) |
| 208200000X Plastic Surgery (Licence: IA MD41737) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2017-04-19 |