| NPI | 1316972078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CT 047848) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: GA 058158) |
| 208600000X Surgery (Licence: MS 18970) | |
| 208600000X Surgery (Licence: CT 047848) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-02-27 |