| NPI | 1528228277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NC 2018-02108) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IL 036123547) |
| 208200000X Plastic Surgery (Licence: MA 236804) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2024-10-01 |