| NPI | 1518278175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NC 2022-02021) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL OS14397) |
| 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: IA DO-04698) | |
| 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: FL OS14397) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2022-11-04 |