| NPI | 1407922685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX N4589) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 025562) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2013-03-22 |