| NPI | 1326508698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MN 68457) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 29863) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-06-18 |