| NPI | 1467606590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NE 29358) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 53627) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2016-08-02 |