| NPI | 1427109461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 23855) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX H8042) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |