| NPI | 1437653193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX V5969) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 125.072306) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2025-08-11 |