| NPI | 1275970188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 339647-01) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A 125392) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2025-12-23 |