| NPI | 1306133004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME131243) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY 2848971) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2023-08-30 |