| NPI | 1508182064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A118781) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A118781) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2022-05-06 |