| NPI | 1336402569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: UT 11163211-1205) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX BP10043792) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2023-07-14 |