| NPI | 1427348473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A129448) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NV 21257) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2025-12-23 |