| NPI | 1558570580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MI 4301108662) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: UT 7665984-1205) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-01-21 |