| NPI | 1518212166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AL L5907SP) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: TX BP10044877) |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: GA 078828) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2024-10-11 |