| NPI | 1346669041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME146924) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TN MD61479) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-07-07 |