| NPI | 1376224915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 059939991) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 059939991) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-30 |