| NPI | 1376939819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: FL ME182442) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A202295) |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2026-09-04 |