| NPI | 1407295397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CO DR.0072810) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX U3530) |
| 208600000X Surgery (Licence: MA 256341) | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2025-04-24 |