| NPI | 1528646460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME163004) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R78739) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2023-07-05 |