| NPI | 1275064115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD D0082896) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MD D0082896) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |