| NPI | 1386833770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: SC 35563) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: SC 35563) |
| 208200000X Plastic Surgery (Licence: OH 57013009) | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2020-01-31 |