| NPI | 1275504920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 005628) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MN 47139) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2023-03-07 |