| NPI | 1295830560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX M2692) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX M2692) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2010-11-15 |