| NPI | 1548464324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MA 260824) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 260824) |
| 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: MA 260824) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2019-09-20 |