| NPI | 1447488531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME134135) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT195132) |
| 208600000X Surgery (Licence: FL ME134135) | |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2019-09-26 |