| NPI | 1356509285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: KS 04-43197) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX P9825) |
| 208200000X Plastic Surgery (Licence: NY 258932) | |
| 208200000X Plastic Surgery (Licence: FL ME122513) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: VT 042.0013527) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2020-06-05 |