| NPI | 1417118597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 252484) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: GA 69728) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2021-03-29 |