| NPI | 1306004452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MD D0078806) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NC 2012-01398) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2018-08-13 |