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 |