| NPI | 1316167679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WY 10610A) |
| Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: ID M-13366) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2024-01-02 |