| NPI | 1285825927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA C53103) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: LA 022202) |
| 208600000X Surgery (Licence: CA C53103) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2019-06-06 |