| NPI | 1386737997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NJ MA62096) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: PA MD069186L) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-04-25 |