| NPI | 1356792154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 328970) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA 146825) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2024-07-02 |