| NPI | 1558705061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: UT 10726437-1205) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: CA A134797) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2023-07-19 |