| NPI | 1326242405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NE 26503) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 77160) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2017-02-24 |