| NPI | 1346432614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: SC 22185) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A79618) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2022-10-13 |