| NPI | 1346506995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MO 2023025214) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2023025214) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2024-04-25 |