| NPI | 1376905737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CO DR.0070379) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX T4353) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX T4353) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2023-08-21 |