| NPI | 1306427455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 74390) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 320874) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-09-05 |