| NPI | 1336567445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OR MD209561) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA .) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2022-05-23 |