| NPI | 1336403351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VT 042.0015290) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NC 2018-00274) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2022-05-20 |