| NPI | 1346801891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A211167) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MO 2019018212) |
| 208200000X Plastic Surgery (Licence: TX V7077) | |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2026-09-23 |