| NPI | 1396937561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NC 2014-01943) |
| Additional Taxonomies | 208600000X Surgery (Licence: DC MD036515) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2014-10-01 |