| NPI | 1326241522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NH 16908) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: ME MD19151) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2018-11-29 |