| NPI | 1538377791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD447118) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TN MD 54232) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2021-07-27 |