| NPI | 1457313678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD029574E) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA G136017) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2015-12-07 |