NPI | 1376939819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A202295) |
Additional Taxonomies | 208600000X Surgery (Licence: TX R5054) |
Enumeration Date | 2015-04-11 |
Last Update Date | 2025-08-07 |