| NPI | 1528189743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301513182) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2011016785) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MO 2011016785) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2025-02-05 |