| NPI | 1407103880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101280068) |
| Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: IL 036146016) |
| 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: KY TP666) | |
| Enumeration Date | 2012-08-05 |
| Last Update Date | 2024-04-01 |