| NPI | 1275721839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX PO699) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: UT 6229465-1205) |
| 208200000X Plastic Surgery (Licence: FL 271986991) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2013-09-19 |