| NPI | 1366746463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX S4932) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MO 2021019451) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2023-07-24 |