| NPI | 1477906212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CT 76109) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NY 283162-1) |
| Enumeration Date | 2016-07-17 |
| Last Update Date | 2024-03-07 |