| NPI | 1396204194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: KY 1396204194) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: GA 103953) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-04-22 |