| NPI | 1548252612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL OS5296) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MI 5101013687) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2024-01-23 |