| NPI | 1518378942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101258786) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 9992) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2025-08-05 |