| NPI | 1326521576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CO PA.0005427) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO PA.0005427) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |