NPI | 1467563338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: NJ 25MA05000000) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY 146405-1) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |