| NPI | 1518123090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME 110032) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 036.134610) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2018-04-13 |